MARSHALL MEDICAL CENTER NPI 1578872784

NPI Information

  • NPI: 1578872784
  • Provider Name: MARSHALL MEDICAL CENTER
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Doing Business As: MARSHALL ENT
  • Address: 4300 GOLDEN CENTER DR
    SUITE D
    PLACERVILLE, CA
    ZIP 95667
  • Phone: (530) 344-2000

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NPI Details

MARSHALL MEDICAL CENTER is an otolaryngology in Placerville, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MARSHALL MEDICAL CENTER NPI is 1578872784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marshall Ent.

The provider's business location address is:

4300 GOLDEN CENTER DR
SUITE D
PLACERVILLE, CA
ZIP 95667-278
Phone: (530) 344-2000
Fax: (530) 344-2014

The provider's authorized official is Laurie Eldridge .
The authorized official title is Cfo and has the following contact phone number (530) 626-2787.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
2207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ03776ZOTHERCALIFORNIAMEDICARE PTAN

What is NPI?

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This page was last updated on: 11/21/2025

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